Clark, Douglas A.

Clark, Douglas A. is an individual health care provider with primary practice located at 9601 Baptist Health Dr Ste 860 , Little Rock AR 72205-6375. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Clark, Douglas A. can be contacted via phone (501) 975-7455.

Contact Information

Primary practice address
9601 Baptist Health Dr Ste 860 Little Rock AR 72205-6375
Phone: (501) 975-7455
Fax: (501) 975-3631
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1326038035
LBN Legal business name Clark, Douglas A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326038035 NPPES
Arkansas MEDICAID 197623795

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